- Sutter Health (Goleta, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- HCA Healthcare (Riverside, CA)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a Manager of Case Management. We care for our communities and employees! ... invested over 156,000 hours impacting our communities. As a Manager of Case Management with Riverside Community...it relates to different payers such as Medicare, Medi-cal, Managed Care and private insurance plans. Riverside… more
- Actalent (Sacramento, CA)
- …approach, and cost-effective care for Medicare Client members. The Senior Nurse Case Manager follows and manages the course of treatment for patients while ... care and safe outcomes. The Senior Nurse Case Manager also conducts initial and ongoing...enrollment/eligibility benefits verified, prior to authorizing inpatient and outpatient care . + Applies managed care … more
- Cedars-Sinai (CA)
- …issues that arise + Initiates transition of care for patients who will be managed by the inpatient case managers on patient care units **Qualifications** ... hear from you! We are seeking an experienced, knowledgeable Case Manager to work directly in our...with Physicians to determine that most appropriate level of care for a diverse array of patients and medical… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Clinical Case Manager Location:Los Angeles, CA Job ID:3713 Salary:$30.65 - $32.26 Per Hour Area of Interest:Clinical Division:Adult Services Shift Type:Day About ... order to prepare individuals for further success. The Clinical Case Manager I provides Intensive Case...- accompany participants to activities and services + Coordinate Care and Case Management as part of… more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- Lompoc Valley Medical Center (Lompoc, CA)
- … management certification is preferred. + Skills/Ability: Working knowledge of managed care requirements, discharge planning and hospital information systems ... equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management...with discharge planning and transfer to appropriate levels of care to meet their needs within the hospital or… more
- Sutter Health (San Francisco, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to… more
- Sutter Health (Burlingame, CA)
- …AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... joining Sutter Health! **Organization:** Bay Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more
- Sutter Health (Roseville, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... confirm medical necessity is met and at the appropriate level of care . Coordinates the utilization management, resource management, discharge planning, post-acute … more
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